37000 Feet | Browse and search NASA's Aviation Safety Reporting System |
|
Attributes | |
ACN | 808255 |
Time | |
Date | 200810 |
Local Time Of Day | 1801 To 2400 |
Place | |
State Reference | US |
Altitude | agl single value : 0 |
Environment | |
Flight Conditions | VMC |
Light | Night |
Aircraft 1 | |
Operator | common carrier : air carrier |
Make Model Name | B737-800 |
Operating Under FAR Part | Part 121 |
Flight Phase | climbout : intermediate altitude ground : taxi |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Experience | flight time last 90 days : 180 |
ASRS Report | 808255 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Events | |
Anomaly | non adherence : company policies non adherence : published procedure |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : became reoriented |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
During the after-start checklist; I failed to get the engine driven generators on-line. We completed the after start checklist and I responded properly when challenged; but I did not put the generators on-line. Since the APU generator had the busses; everything appeared normal. After takeoff; the flight attendants notified me that the galleys had no power. While communicating with maintenance via ACARS; the first officer discovered the generators were not 'on-line.' I established the generators and we continued. Although I did not feel rushed; I just missed the item on the checklist. The first officer and I discussed the importance of checklist verification. I truly believed the generators were on-line; and it was that human factors 'strength of an idea' that caused me to 'not see' the generator panel condition. Missed item on after-start checklist.
Original NASA ASRS Text
Title: B737 CAPT RPTS NOT ESTABLISHING GENERATOR PWR AFTER ENG START. FLT DEPARTS ON APU GENERATOR PWR. PROB IS CORRECTED WHEN FLT ATTENDANTS RPT NO PWR IN THE GALLEYS.
Narrative: DURING THE AFTER-START CHKLIST; I FAILED TO GET THE ENG DRIVEN GENERATORS ON-LINE. WE COMPLETED THE AFTER START CHKLIST AND I RESPONDED PROPERLY WHEN CHALLENGED; BUT I DID NOT PUT THE GENERATORS ON-LINE. SINCE THE APU GENERATOR HAD THE BUSSES; EVERYTHING APPEARED NORMAL. AFTER TKOF; THE FLT ATTENDANTS NOTIFIED ME THAT THE GALLEYS HAD NO PWR. WHILE COMMUNICATING WITH MAINT VIA ACARS; THE FO DISCOVERED THE GENERATORS WERE NOT 'ON-LINE.' I ESTABLISHED THE GENERATORS AND WE CONTINUED. ALTHOUGH I DID NOT FEEL RUSHED; I JUST MISSED THE ITEM ON THE CHKLIST. THE FO AND I DISCUSSED THE IMPORTANCE OF CHKLIST VERIFICATION. I TRULY BELIEVED THE GENERATORS WERE ON-LINE; AND IT WAS THAT HUMAN FACTORS 'STRENGTH OF AN IDEA' THAT CAUSED ME TO 'NOT SEE' THE GENERATOR PANEL CONDITION. MISSED ITEM ON AFTER-START CHKLIST.
Data retrieved from NASA's ASRS site as of May 2009 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.